Provider Type Icon

KEY NEUROLOGY LLC NPI 1538348156


NPI Information

NPI: 1538348156
Provider Name: KEY NEUROLOGY, LLC

Former Legal Business Name: ERNEST CLEVINGER JR. MD LLC

Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
174 THOMAS JOHNSON DR
SUITE 100
FREDERICK, MD
ZIP 21702
Phone: (301) 668-9380
Get Directions

KEY NEUROLOGY, LLC is a neurology psychiatry neurology in Frederick, MD. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. KEY NEUROLOGY, LLC NPI is 1538348156. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Ernest Clevinger Jr. Md Llc.

The provider's business location address is:

174 THOMAS JOHNSON DR
SUITE 100
FREDERICK, MD
ZIP 21702-423
Phone: (301) 668-9380
Fax: (301) 668-9480

The provider's authorized official is Salam Zughayer .
The authorized official title is Owner/physician and has the following contact phone number (301) 367-9771.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/12/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084S0012XPsychiatry & NeurologySleep MedicineH0065700MARYLANDNo
22084N0400XPsychiatry & NeurologyNeurologyH0065700MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1161NMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.